Permit N v
CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00299
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/12/2008
PARCEL: 2S 103CA -03100
SITE ADDRESS: 11525 SW TERRACE TRAILS DR ZONING: R-4.5
SUBDIVISION: TERRACE TRAILS LOT: 003 JURISDICTION: TIG
PROJECT: STIMLER
Project Description: Replacing gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
ROBERT STIMLER Description Date Amount
11525 SW TERRACE TRAILS DR
TIGARD, OR 97223 [MECH] Permit Fee 6/12/200€ $72.50
[TAX] 12% State Surch 6/12/200€ $8.70
Phone: 503- 639 -9148
Total $81.20
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 624 -2704
FAX 503 -598 -0270
Reg #: LIC 76359
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By : Permittee Signature: 47 /7/1 1 -a . (
Call . .4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.... • • .
Mechanical Permit A t Ili rt1tiTI_I E'JED rf►lt ul:ru'1: 1 ONLY
III 4, City of Tigard • Received , /,, Permit No.: 714 aCt _• it
13125 SW Hall Blvd., Tigard, OR 97223 1I J I N 1 c 2r 1
Phone: 503.639.4171 Fax: 503.598.19 N L� l' Plan Ra
Rc w Other Permit:
T I G A it u
Inspection Line: 503.639 r , . Date R ,, RI See Page 2 for
Internet: www.tigard -o r.gov y it,
Bull �(' i ►�a�t�sL N a ti lial/Alcthod: Supplemental Information
BlJ!l rtlhlr !tltitic.11m
. . TVPF. OF WORK. ••.. -•. , .._`di`•:: .. : COINME •' DULE. -,'.USE CHECKLIST
R �1;:� ...fi ..E..
❑ New construction ❑ Addition /alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CONST4110114.N.: ::` :•: .• .
RESEDENTIAL EQUIPAiENI / SYSTEMS FEES'
❑ 1• and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building I
For special informailon
Multi use checklist. ,
❑ _ y ❑ Master builder ❑ Other: Description I Qty. I Ea Total
•` +•, ?r'a - JOB. SITE,. INFORMATION; LOCATION :. :;:7.':;. ag/cu ing
Heati of
) f ■/ Air conditioning or heat pump
Job site address:
!� 5-475 e41 �J1�I.1/•G 7/1J f.1 Ail. (requires site plan showin place-mom) 14.00
City /State/ZIP: Furnace 100,000 BTU (duets/vents) / 14.00 /Ht g
37-t ' Furnace 100,000+ BTU (ducts/veats) 17.90
SuitetbldgJapt. no.: Project name: r" ) Gas heat pturtp 14.00
Cross street/directions to job site: Duct work 14.00 •
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
i Unit heaters (fuel -type, not electric).
in -wall, induct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK .. Water heater 10.00
. Gas fireplace 10.00 j
f•rJ ----• , 3'. , • - et& rei , see• Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert i 1000
74 ROPERTY OWNER :.':...,. '[]` TEI r ANT.. .:: : <4 ., • -
Chimney/liner/ lueivent 10.00
Other j 10.00
Name: .4 S?//f kis, Enviromnental exhaust and ventilation
Address. . Range hood/other kitchen
equipment 1 0.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ?3) d .3q r / �f, Fax: ( ) toilet compartments, utility rooms) 6.80
. • ❑ APPLICANT. / . • CONTACT PERSON •'.:''.. + " Atticicrawlspactfarts 10.00
Other: 10.00
Business name: Fuel piping
Contact mater" 3 To 1 b y $5.40 for first four; 51.00 for each additional
Address: • Furnace. etc.
Gas heat pump
City /State/ZIP: Wall/suspendedlunit heater
Phone: s D3 )t, 2.q 1 Fax: : 93 )3 1 '- O - 7 0 Water heater
Fireplace I
E -mail: Range
CONTRACTOR •_: -: ;: r ..:.:. : .:. .:: .:.:':.:..:.:: Barbecue
. _ )1-M hi 6 I-• n ,, l a_ _! Clothes dryer (gam)
Business name: 1.�! Pa-A/6 I�V �'r'(�
Other:
Address: ge 3 OA, .23 U 3 91 MECHANICA LTERMII FILES!
City /State/ZIP: � G 2 � , q-7.2-p-/ Subtotal }" j
( ) ( 2- �0 ii Fax: ) .i41?...
Minimum permit fee (572.50) �Z�
Phone:
�� Plan review (2594, of permit fee)
CCB lie.: 76 3 S .-.1 ? a State surcharge (.12% of permit foe) . )
TOTAL PERMIT FEE q / 1) a
This permit application expires Ira permit is not obtained iibiu 1880
Authorized signature:
/� � /� days after it has been accepted as complete.
Print name: - (//A Date: ( ... J • F ee methodology set by Tri - County Building Industry Service Board
Z•d OLZO 869 ONl1V3H viewnioo eL9:80 80 ZL unr
CITY OF TIGARD - cii
BUILDING DIVISION f 1 M PERMIT #: EC200B OU ?3U
13125 SW Hall Blvd., Tigard, OR 97223 l(„ DATE ISSUED: 6/1212008
Phone: (503) 639 - 4171 411.11111\ I
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 7/3/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 11525 SW TERRACE TRAILS DR CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 003 TYPE OF USE:
PROJECT NAME: STIMLER
DESCRIPTION: Replacing gas furnace_
OWNER: STIMLER, ROBERT PHONE #: 503.639-31418
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2104
Inspection Request Scheduled For: Date: 7/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes :ge
699 Mechanical final 072170 -01 503.624-2704 Y
Corrections /Ci ments /Instructions:
Al(1K\ V f 11 14 7
Nck* IZoc
1
ikutziA4k ,}j12 (1:g I"? 0 3,10
A -(/
/ •
7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES SSESSED
Inspector: Date: -7 3 1 C. Phone #: (503) 718- 24-P